Ostlie, Todd A
Ostlie, Todd A is an individual health care provider with primary practice located at 212 E Central Ave Ste 140, Spokane WA 99208-6289. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ostlie, Todd A can be contacted via phone (509) 465-1300.Contact Information
Primary practice address
212 E Central Ave Ste 140
Spokane WA 99208-6289
Phone: (509) 465-1300
Fax: (509) 465-1313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004002 | Washington |
Profile Details
| NPI number | 1063481620 |
|---|---|
| LBN Legal business name | Ostlie, Todd A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063481620 | NPPES |
| Washington | Other | 19618 | GROUP HEALTH NW |
| Washington | Other | 5035OS | GROUP HEALTH NW |
| Washington | Other | 152849 | GROUP HEALTH NW |
| Washington | Other | K6443 | GROUP HEALTH NW |
| Washington | Other | 000010139032 | GROUP HEALTH NW |
| Washington | MEDICAID | 8387326 | GROUP HEALTH NW |
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